Open Reduction and Internal Fixation of Displaced Intra-Articular Fractures of the Glenoid

전위된 견갑골 관절내 골절의 관혈적 정복 및 내고정술

  • Kim Seung Key (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Park Jong Beom (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Choi Woo-Sung (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Kwon Young-Jeong (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu) ;
  • Chang Han (Department of Orthopedic Surgery, College of Medicine, Catholic University, Uijongbu St. Mary's Hospital, Uijongbu)
  • 김승기 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 박종범 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 최우성 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 권영정 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
  • 장한 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실)
  • Published : 1998.11.01

Abstract

Fractures of the scapula are relatively uncommon injuries and treatment in the vast majority of cases remains nonsurgical and the results have been quite satisfactory. But the scapular fracture itself may be neglected because of its high incidence of many kinds of associated injuries so its delayed treatment sometimes gives bad and unpredictable results. Although open reduction and internal fixation has been accepted as the treatment of choice for displaced intra-articular fractures in many anatomical regions, there has been no definite treatment principles of surgical indications and approaches in the glenohumeral joint. At our institution, II displaced intra-articular fractures of the glenohumeral joint were treated with open reduction and internal fixation from March 1993 to February 1997. This paper reports the results of treating 11 displaced intra­articular fractures of the glenoid by open reduction and internal fixation. There were 10 men and one woman and the fractures were classified according to Ideberg : Type Ⅰa(4), Type Ⅱ(3), Type Ⅲ(1), Type IV(1), Type Va(1), and Type Vc(1).

Keywords